Organization
ACUTE SPINE THERAPY & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P GIBSON DC (OWNER)
(240) 595-1838
Entity
Organization
Contact information
Practice address
20 MONTGOMERY VILLAGE AVE, SUITE A, GAITHERSBURG, MD 20879-3581
(301) 977-0640
(301) 977-0643
Mailing address
20 MONTGOMERY VILLAGE AVE, SUITE A, GAITHERSBURG, MD 20879-3581
(301) 977-0640
(301) 977-0643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02178
MD
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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